At a glance
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Fast-track Surgery After Gynaecological Oncological Surgery
In Brief
A clinical study evaluating pre-operative assessment, counseling and education, Preoperative nutritional drink up to 4 h prior to surgery, and 10 other interventions for Length of Stay and 2 related conditions. Completed, enrolled 107 participants across 1 site.
Detailed Summary
Fast-track surgery (FTS) pathway, also known as enhanced recovery after surgery (ERAS), FTS is a multidisciplinary approach aiming to accelerate recovery, reduce complications, minimize hospital stay without an increased readmission rate and reduce healthcare costs, all without compromising patient safety. It has been used successfully in non-malignant gynecological surgery, but it has been proven to be especially effective in elective colorectal surgery. However, no consensus guideline has been developed for gynecological oncology surgery although surgeons have attempted to introduce slightly modified FTS programmes for patients undergoing such surgery. NO randomised controlled trials for now. The advantages of fast-track most likely extend to gynecology, although so far have scarcely been reported. There is a existing research showed FTS in gynecological oncology provide early hospital discharge after gynaecological surgery meanwhile with high levels of patient satisfaction. The aim of this study is to identify patients following a FTS program who have been discharged earlier than anticipated after major gynaecological/gynaecological oncologic surgery and analyze the complication after surgery.
Study Details
Timeline
Interventions
pre-operative assessment, counseling and FT management education
Preoperative nutritional drink up to 4 h prior to surgery mechanical bowl preparation should not be used
patients are not received mechanical bowel preparation, only oral intestinal cleaner 12 h pre-operation can be accepted, but no need of liquid stool
preoperative treatment with carbohydrates (patients without diabetes).
fast solid food before 6 h and liquid food Intake of clear fluids 2 h before anaesthesia;
avoiding hypothermia, keeping the intra-operative lowtemperature at 36 ±0.5 degree centigrade; antiemetics at end of anaesthesia.
Postoperative glycaemic control;
early postoperative diet(3-6 h after surgery, patients resumed a liquid diet, 12 h after surgery patients began to take solid diet).
Oral bowel preparations or mechanical bowl until liquid stool
6 h after surgery, patients resumed a liquid diet, patients began to take solid diet after anal exhaust